Indiana
Professional Licensing Agency
Martin F. Wieschhaus
Controlled Substance Registration - Physician
License number
01036210B
Date granted
08/19/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Medicine Faculty Physicians, 611 E. Douglas Rd, Ste 101, Mishawaka IN 46545
indianalicensing.org
ID 5895520
LAST UPDATED 2024-04-13 20:55:06 UTC
LAST UPDATED 2024-04-13 20:55:06 UTC
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